Dr Earl E Fredrick, MD - Medicare Emergency Medicine in Chicago, IL

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Dr Earl E Fredrick, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. His current practice location is 1501 S California Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 257-6843.

Dr Earl E Fredrick is licensed to practice in Illinois (license number 036080103) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467452839.

Contact Information

Dr Earl E Fredrick, MD
1501 S California Ave,
Chicago, IL 60608-1732
(773) 257-6843
Not Available

Map and Direction




Physician's Profile

Full NameDr Earl E Fredrick
GenderMale
SpecialityEmergency Medicine
Location1501 S California Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467452839
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 01/27/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4587638887
  • Enrollment ID: I20040823001030

Medical Identifiers

Medical identifiers for Dr Earl E Fredrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467452839NPI-NPPES
036-080103-3MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-080103 (Illinois)Secondary
207P00000XEmergency Medicine 036080103 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Earl E Fredrick allows following entities to bill medicare on his behalf.
Entity NameGreat Lakes Emergency Physicians Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689212581
PECOS PAC ID: 8527493105
Enrollment ID: O20200109001135

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Earl E Fredrick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Earl E Fredrick, MD
3537 Paysphere Cir,
Chicago, IL 60674-0035

Ph: (708) 786-2900		Dr Earl E Fredrick, MD
1501 S California Ave,
Chicago, IL 60608-1732

Ph: (773) 257-6843

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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